Healthcare Provider Details

I. General information

NPI: 1881636942
Provider Name (Legal Business Name): MCDOWELL MRI, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2006
Last Update Date: 01/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

430 RANKIN DR
MARION NC
28752-6568
US

IV. Provider business mailing address

430 RANKIN DRIVE
MARION NC
28752
US

V. Phone/Fax

Practice location:
  • Phone: 828-659-5100
  • Fax: 828-652-1626
Mailing address:
  • Phone: 828-659-5100
  • Fax: 828-652-1626

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1200X
TaxonomyMagnetic Resonance Imaging (MRI) Clinic/Center
License Number0597542
License Number StateNC

VIII. Authorized Official

Name: MS. MARY BROWN
Title or Position: VICE PRESIDENT
Credential:
Phone: 828-659-5104